摘要
目的探讨非手术脊柱减压系统(SDS)对腰椎间盘突出症(LDH)患者椎旁肌电信号的影响。方法将2018年1月至2019年3月就诊于厦门大学附属福州第二医院康复科门诊和住院的LDH患者60例按就诊顺序分为对照组和治疗组,每组30例;对照组给予单次普通牵引治疗,治疗组给予单次SDS治疗。治疗后量化评估2组患者椎旁肌积分肌电值(IEMG)和均方根值(RMS)并进行统计分析比较。结果2组患者治疗后患侧竖脊肌和多裂肌IEMG、RMS均明显低于治疗前,且治疗组患者治疗后患侧竖脊肌和多裂肌IEMG、RMS均明显低于对照组,差异均有统计学意义(P<0.05)。结论单次SDS治疗能有效降低椎旁肌电信号,缓解椎旁肌紧张程度。
Objective To explore the effect of non-operative spinal decompression system(SDS)on the emg signal of the paravertebral muscles in patients with lumbar disc herniation(LDH).Methods From January 2018 to March 2019,a total of 60 cases diagnosed as LDH were divided into the control group and the treatment group according to the order of visit,30 cases in each group.The control group was received the ordinary traction,and the treatment group was received SDS treatment.After the single-time treatment,the integrated electromyography(IEMG)and the root mean square(RMS)of the erector spine muscle and multifidus muscle in affected side were quantitatively evaluated and compared statistically in two groups after treatment.Results After the the single-time treatment,the AEMG and the RMS of the erector spine muscle and multifidus muscle in affected side of the two groups were significantly higher than those pre-treatment(P<0.05).The AEMG and the RMS of the erector spine muscle and multifidus muscle in affected side were significantly lower in the treatment group compared with the control group,the differences were statistically significant(P<0.05).Conclusion Single SDS treatment can effectively reduce the paravertebral emg signal,and relieve paravertebral muscle tension.
作者
梁杰
陈述荣
卢惠苹
张高飞
卢萍丹
陈昕
LIANG Jie;CHEN Shurong;LU Huiping;ZHANG Gaofei;LU Pingdan;CHEN Xin(The second Hospital of Fuzhou,Fuzhou,Fujian 350007,China;Fujian University of Chinese Medicine,Fuzhou,Fujian 350122,China)
出处
《现代医药卫生》
2019年第22期3426-3428,3432,共4页
Journal of Modern Medicine & Health
基金
福建省自然科学基金资助项目(2019J01544)
福建省卫生计生科研人才培训项目(2018-2-35)
福州市重点专科建设项目(201710272)
福州市科技计划项目(2018-S-101-4)
关键词
腰椎
椎间盘移位
椎旁肌
肌电描记术
非手术脊柱减压系统
Lumbar vertebrae
Intervertebral disc displacement
Paraspinal muscles
Electromyography
Non-surgical spinal decompression system
Lumbar disc herniation
